Provider Demographics
NPI:1881151173
Name:SCHOLARMADE ACHIEVEMENT PLACE OF ARKANSAS
Entity type:Organization
Organization Name:SCHOLARMADE ACHIEVEMENT PLACE OF ARKANSAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:501-404-0012
Mailing Address - Street 1:PO BOX 55930
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72215-5930
Mailing Address - Country:US
Mailing Address - Phone:501-404-0012
Mailing Address - Fax:
Practice Address - Street 1:2410 S BATTERY ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72206-1828
Practice Address - Country:US
Practice Address - Phone:501-404-0012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-22
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)